超声联合阴道注入生理盐水诊断幼女及未婚女性阴道异物的临床价值  

Clinical value of ultrasound combined with vaginal injection of physiological saline in the diagnosis of vaginal foreign bodies in young girls andunmarried women

作　　者：肖晓芳 苗琦 林琼 XIAO Xiao-fang;MIAo Qi;LIN Qiong(Department of Ulrasound Medlicine,Ganzhou Malernal and Child Healh Hospital,Jiangxi Province,Ganzhou341000,China;Department of Ulrasound,Matermal and Child Healh Haspital of Zhanggong Distric of GanzhouCily in Jiangxi Province,Ganzhou 341000,China)

机构地区：[1]江西省赣州市妇幼保健院超声医学科,江西赣州341000 [2]江西省赣州市章贡区妇幼保健院超声科,江西赣州341000

出　　处：《中国当代医药》2021年第22期180-183,共4页China Modern Medicine

基　　金：江西省赣州市卫生健康委员会科研计划项目(2019-1-10)

摘　　要：目的 探讨超声联合阴道注入生理盐水诊断幼女及未婚女性阴道异物的临床价值。方法 选取2017年10月-2020年11月于赣州市妇幼保健院接受诊治的64例阴道异物患者为观察对象,所有患者均实施超声检查、阴道注入生理盐水,分析单独检测(超声检查)与超声联合阴道注入生理盐水检查(联合检测)的诊断结果,比较单独检测、联合检测的异物确诊率。结果 64例阴道异物患者中,阴道出血及异常分泌物为最常见就诊原因,发生率为79.69%;单独检测、联合检测的超声结果均发现强回声等异常回声,但是单独检测多数无法确诊异常回声成因,联合检测全部确诊异常回声成因。联合检测的阴道异物确诊率为100.00%,高于单独检测的87.50%,差异有统计学意义(χ^(2)=8.533,P<0.05)。结论 超声联合阴道注入生理盐水诊断幼女及未婚女性阴道异物准确率更高,且无不良事件发生,临床价值较高。Objective To explore the elinical value of ulrasound combined with vaginal injection of physiologicalsaline in the dliagnosis of vaginal lforeign bodlies in young girls and unnarried women. Methods A lotal of 64 patientswih vaginal foreign bodies lrealedl in Ganzhou Malernal and Child Healh Hospital were selecled as the observationsubjects from October 2017 to November 2020.All patienls underwent ultrasound examinalion and vaginal injection ofphysiological saline. The diagnosis resulis of ulirasound examination (single detection) and ulrasound combiner withvaginal injection olf physiological saline (combined detection) were comparalively analyzedl. The conlirmation rale ol foreignbodies was comparer belween the lwo dletection methods.Results Among the 64 palienls wih vaginal foreign bodies,vaginal bleedling and abnormal secetions were the most common reasons lfor visits,with the incidence rale of 79.69%.Ablominal ulrasound exanination showexd thal there were abnormal echoes such as slrong echoes in both singledelection and combined detection, and the causes of which could not be conlirmed by single delection, while all causescould be conlirmedl by combined delection. The conlirmation rale ol vaginal foreign bodies of the combiner detectionwas lO0.00%,which was higher than 87.50% of single detection, the dillerence was slatistically signilican (χ^(2)=8.533,P<0.05)、Conclusion Ulrasound combined with vaginal injection of physiological saline is more accurale in thediagnosis of vaginal loreign bodies in young girls and unmarriedl women, and there are no adverse evenls,which is ofhigher clinical value.

关 键 词：阴道异物 幼女 未婚女性 超声 生理盐水 

分 类 号：R711.73[医药卫生—妇产科学]